Jordan Taylor Fontenot, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1271201 Issued in TX

Practice address

1212 W Parmer LN Ste E
Austin, TX 78727-4657

Phone

(512) 670-3238

NPI assigned

Feb 4, 2016

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Boulet Rehabilitation Services, Inc.

  • Physical Therapy Clinic/Center
  • Lafayette, LA
  • NPI 1437159852
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1454544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476403200000",
    "number": "1235597246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17325 BELL NORTH DR",
            "address_2": "SUITE 2-B",
            "city": "SCHERTZ",
            "state": "TX",
            "postal_code": "781543368",
            "telephone_number": "888-590-4002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 W PARMER LN STE E",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787274657",
            "telephone_number": "512-670-3238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONTENOT",
        "first_name": "JORDAN",
        "middle_name": "TAYLOR",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-02-04",
        "last_updated": "2016-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1271201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chad Ryan Fontana, P.A.
• Ellen Fontana, NURSE PRACTITIONER
• Emily Elizabeth Fontana, OTR CHT
• Michael Bradley Fontanesi
• Heather Michelle Fontenot, LSA
• Kimberly Jane Fontenot, RPH
• Food Is Medicine Marketplace, LLC
• Foot Pain Relief Store LLC
• Elizabeth Foot, MPH, RDN, LDN
• Fora Fertility, PLLC

• Physical Therapist in Austin, TX
• Providers in Austin, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.